首页|微创旋切手术与常规手术治疗乳腺良性疾病的效果研究

微创旋切手术与常规手术治疗乳腺良性疾病的效果研究

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目的 探讨乳腺良性疾病诊疗中应用微创旋切手术诊疗的效果及对疼痛改善的影响。方法 选取2021年5月—2023年5月福建医科大学附属福州市第一医院乳腺外科收治的80例乳腺良性疾病患者为研究对象。依据不同手术方法分组,对照组(n=40)予常规手术治疗,治疗组(n=40)予微创旋切手术治疗。比较2组手术参数、炎症因子、疼痛程度、乳房美观度、并发症等。结果 治疗组术中出血量、术后瘢痕长度分别为(4。72±1。17)mL、(2。86±0。58)mm,优于对照组的(11。18±2。40)mL、(14。12±5。85)mm,治疗组手术时间、切口愈合时间分别为(19。63±4。28)min、(4。29±1。34)d,短于对照组的(36。26±7。34)min、(7。35±2。53)d,差异有统计学意义(P<0。05)。术后3 d,治疗组白细胞介素-10(interleukin-10,IL-10)、C反应蛋白(C-reactive protein,CRP)水平分别为(16。86±3。63)pg/mL、(17。15±4。32)mg/L,低于对照组的(21。68±5。12)pg/mL、(31。44±5。25)mg/L,治疗组血清干扰素-γ(interferon-γ,IFN-γ)水平为(2676。82±839。60)ng/mL,高于对照组的(2215。92±746。57)ng/mL,差异有统计学意义(P<0。05)。治疗组术后1、3、5 d视觉模拟评分法(visual analogue scale,VAS)评分低于对照组,差异有统计学意义(P<0。05)。术后1个月,治疗组乳房形状评分高于对照组,差异有统计学意义(P<0。05);术后3个月,治疗组乳房色素沉着、切口瘢痕、乳头乳晕评分高于对照组,差异有统计学意义(P<0。05)。治疗组并发症总发生率为5。00%,低于对照组的25。00%,差异有统计学意义(P<0。05)。结论 乳腺良性疾病治疗中应用微创旋切手术效果显著,可减轻疼痛应激,提高乳房美观度,减少术中出血量,规避相关并发症,安全性较高。
Study on the Effect of Minimally Invasive Rotational Resection Surgery and Conventional Surgery in the Treatment of Benign Breast Disease
Objective To investigate the effect of minimally invasive rotational resection surgery in the diagnosis and treatment of benign breast disease and its effect on pain improvement.Methods A total of 80 patients with benign breast disease admitted to the department of breast surgery,Affiliated Fuzhou First Hospital of Fujian Medical University from May 2021 to May 2023 were selected as the study objects. According to different surgical methods,the control group (n=40) received conventional surgery,and the treatment group (n=40) received minimally invasive rotational resection surgery. The surgical parameters,inflammatory factors,pain degree,breast beauty and complications were compared between the two groups. Results The amount of blood loss and postoperative scar length in the treatment group were (4.72±1.17) mL and (2.86±0.58) mm,which were better than (11.18±2.40) mL and (14.12±5.85) mm in the control group,and the operation time and incision healing time in the treatment group were (19.63±4.28) min and (4.29±1.34) days,which were shorter than (36.26±7.34) min and (7.35±2.53) days in the control group,the differences were statistically significant (P<0.05). At 3 days after surgery,the levels of interleukin-10 (IL-10) and C-reactive protein (CRP) in the treatment group were (16.86±3.63) pg/mL and (17.15±4.32) mg/L,which were lower than (21.68±5.12) pg/mL and (31.44±5.25) mg/L in the control group,and the levels of interferon-γ (IFN-γ) in the treatment group were (2676.82±839.60) ng/mL,which were higher than (2215.92±746.57) ng/mL in the control group,the differences were statistically significant (P<0.05). The visual analogue scale (VAS) score of the treatment group was lower than that of the control group at 1,3 and 5 days after surgery,the differences were statistically significant (P<0.05). One month after surgery,the breast shape score in the treatment group was higher than that in the control group,the difference was statistically significant (P<0.05). Three months after surgery,the scores of breast pigmentation,incision scar and nipple areola scores in the treatment group were higher than those in the control group,the difference were statistically significant (P<0.05). The total incidence of complications in the treatment group was 5.00%,which was lower than 25.00% in the control group,the difference was statistically significant (P<0.05). Conclusion The application of minimally invasive rotational resection surgery in the diagnosis and treatment of breast benign disease has a significant effect,which can reduce pain stress,improve breast aesthetics,reduce intraoperative blood loss,avoid related complications,and has high safety.

benign breast diseasesurgical treatmentinflammatory factorspaincomplicationsintraoperative bleeding volume

余昌威、肖方挺、林秀珍、陈惠

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福建医科大学附属福州市第一医院乳腺外科,福建福州350000

乳腺良性疾病 手术治疗 炎症因子 疼痛 并发症 术中出血量

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(22)